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  1. CPT® Code 99497 - Advance Care Planning - Codify by AAPC

    The Current Procedural Terminology (CPT ®) code 99497 as maintained by American Medical Association, is a medical procedural code under the range - Advance Care Planning.

  2. Advance Care Planning - AAPC Knowledge Center

    Feb 21, 2019 · 99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician …

  3. CPT® Code - Advance Care Planning 99497-99498 - Codify by AAPC

    Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Advance Care Planning 99497-99498 is a medical code set maintained by the American Medical Association.

  4. Wiki - Need a Modifier for 99497 when I have other services as well

    I can claim 99214:25 along with 99497 and get paid for both. But I sent a claim to WPS Medicare for a patient as follows 99214:25 99497 (Advanced Care Planning) 96372:59 (injection) J3420 (B-12) …

  5. 99497-33 DENIAL | Medical Billing and Coding Forum - AAPC

    Aug 13, 2019 · CPT CODE 99497-33 IS BEING DENIED FOR CO-236 PROCEDURE OR PROCEDURE/MODIFIER COMBINATION IS NOT COMPATIBLE WITH ANOTHER PROCEDURE …

  6. Wiki - Advanced Care Planning 99497 - AAPC

    Jan 28, 2025 · Humana stated that 99497 is a billable code. Resubmitted claim with 25 modifier on 99497 was denied for "THIS SERVICE IS INCLUDED IN ANOTHER SERVICE PROVIDED AT THE …

  7. Wiki - Modifier 25 with 99223 and 99497 - AAPC

    Apr 29, 2021 · Our palliative care provider is billing 99223 and 99497 together when seeing a patient in the inpatient setting. I put modifier 25 on the 99223 but have since read something that states it …

  8. Advanced Care Planning and Medicare - AAPC Knowledge Center

    May 22, 2017 · 99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician …

  9. Choose ICD-10 Based on Reason for Advanced Care Planning (ACP)

    Sep 14, 2017 · Question: What ICD-10 codes can I report with 99497 and +99498? I've heard that we can use HCPCS code S0257 or Z02.89 for non-Medicare patients. North Carolina Subscriber …

  10. Question - MCR Denial for CPT 99497 when billed with G0438 ... - AAPC

    Sep 30, 2025 · When billing G0438 & G0439, it is part of our protocol to review advanced care planning 99497 with our patients. We are documenting the time spent and any changes if necessary. When …